Individual
KRISTINA K BENNETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DNP, FNP-BC, APRN
Contact information
Practice address
701 RIDGE TOP CIR, NORTH SALT LAKE, UT 84054-2816
(180) 181-5102
Mailing address
701 RIDGE TOP CIR, NORTH SALT LAKE, UT 84054-2816
(801) 815-1021
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
308224-4405
UT
Other
Enumeration date
05/10/2021
Last updated
03/04/2022
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